| NPI | 1174292775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW027510) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL07324300) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2026-09-03 |